Can the hollowing of temples go away once discontinuing Botox?

Question

Can the hollowing of temples go away once discontinuing Botox or Will this be a permanent deformation? I receive Botox for migraines

Jason Emer, MD · Answer

The amount of hollowing after botox is minimal unless there is large amounts used consistently over time.  Fillers can be used to improve this.   All effects of botox are reversible upon stopping the treatment.  Best, Dr. Emer.

Kyle Coleman, MD · Answer

Botox injections can be very helpful in some patients with migraines.  Botox injections temporarily weaken muscles in the temples or forehead; in some patients, this can make the muscle reduce in size an unmask hallows or irregularities in the skull beneath.  Any effect should reduce over time as the botox fades.  If these injection points are necessary to treat your migraines, a filler may be able to reduce the effect of the hallowing while maintaining the ability to continue have botox treatments in these areas.

Bruce E. Katz, MD · Answer

Thank you for your question. The hollowing of temples is not
a deformation of Botox but instead a result of aging for some women.  I would recommend getting injectable fillers
which are designed to replace volume lost by your face, resulting in a
prematurely aged appearance. The fillers can correct many signs of aging caused
by a loss of volume, including:

Hollows under the eye
Tear troughs
Sunken cheeks
Nasolabial folds (sometimes called parenthesis lines around the mouth)

Some injectable fillers include: Restylane & Perlane, Juvederm,
Radiesse, Sculptra, Belotero and Selphyl. If you are interested I recommend
consulting with a qualified physician for a full consultation.

Martie Gidon, MD, FRCPC, FAAD · Answer

Hollowing of the temples is caused by loss of volume.  Fillers, such as Juvederm or Restylane, or Sculptra can be used to replace the volume.

Jeanine B. Downie, MD · Answer

Hollowing of the temples is from facial aging, not from Botox. You may need filler in that area and you have to go to somebody who is experienced!! In an inexperienced person's treating this area can be a disaster. Be careful, got an email and please look at only doing reversible hyaluronic acid fillers in that area.

Melvin Elson, MD · Answer

There are no permanent side effects of Botox so this will go away. if in the future you desire more treatment for your migraines try pointing out to your doctor exactly where the pain is and have him inject there. if you still get the hollows that you don't like fillers can help

Keith Denkler, MD · Answer

The Botox in your temples will soften your temporalis muscle and reduce its size and activity.  This helps migraine sufferers and is why it is used there.  The muscle will recover in some months as the Botox wanes.Many adults are also using fillers in the temples to help this hollow look even if they have never had Botox.When your Botox wears off you can evaluate yourself for this.

Can the hollowing of temples go away once discontinuing Botox?

Answers (7)

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